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非洲裔拉丁裔女性及其婴儿的不良出生结局与孕产妇发病率:一项系统文献综述

Adverse Birth Outcomes and Maternal Morbidity Among Afro-Latinas and Their Infants: A Systematic Literature Review.

作者信息

Parra Alexa, Morales Vanessa, Lebron Cynthia N, Potter JoNell, Pan Yue, Santos Hudson P

机构信息

School of Nursing and Health Studies, University of Miami, 5030 Brunson Dr, Coral Gables, FL, 33146, USA.

Miller School of Medicine, Department of Public Health, University of Miami, 1120 NW 14Th St, Miami, FL, 33136, USA.

出版信息

J Racial Ethn Health Disparities. 2024 Aug 14. doi: 10.1007/s40615-024-02107-9.

DOI:10.1007/s40615-024-02107-9
PMID:39141245
Abstract

OBJECTIVES

To evaluate and synthesize research findings on adverse birth outcomes and maternal morbidity among Afro-Latinas and their infants.

METHODS

A systematic review was conducted within PubMed, Web of Science, and SCOPUS databases. Four thousand five hundred twenty-six published peer-reviewed articles from 1970 to 2023 that reported outcomes related to maternal morbidity and/or birth outcomes were screened. After screening, we assessed 22 for eligibility, and ultimately, seven studies were included for data extraction and analysis.

RESULTS

Although limited, the existing studies revealed disparities in abnormal birth weight (LBW & SGA) and higher preterm birth prevalence among Afro-Latinas compared to other racial and ethnic peers. These disparities are also prevalent among U.S.-born Afro-Latinas compared to foreign-born Afro-Latinas.

CONCLUSIONS

By critically examining the current empirical evidence, we can gain a deeper understanding of how intersectionality impacts perinatal health outcomes among Afro-Latinas. Understanding the root causes of these outcomes through increased research is critical to preventing and reducing poor maternal and child health among Afro-Latinas, particularly those who are U.S.-born.

摘要

目的

评估并综合有关非裔拉丁裔女性及其婴儿不良出生结局和孕产妇发病率的研究结果。

方法

在PubMed、科学网和Scopus数据库中进行了系统综述。筛选了1970年至2023年发表的4526篇经同行评审的文章,这些文章报告了与孕产妇发病率和/或出生结局相关的结果。筛选后,我们评估了22篇文章的 eligibility,最终纳入了7项研究进行数据提取和分析。

结果

尽管现有研究有限,但研究显示,与其他种族和族裔的同龄人相比,非裔拉丁裔女性的低出生体重(LBW和SGA)异常及早产患病率更高。与外国出生的非裔拉丁裔女性相比,在美国出生的非裔拉丁裔女性中这些差异也很普遍。

结论

通过严格审查当前的实证证据,我们可以更深入地了解交叉性如何影响非裔拉丁裔女性的围产期健康结局。通过加强研究了解这些结局的根本原因,对于预防和减少非裔拉丁裔女性,尤其是在美国出生的非裔拉丁裔女性的母婴健康不良状况至关重要。

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本文引用的文献

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Factors Associated with Recent Use of Nicotine Replacement Therapy Among Multiethnic Smokers Residing in Public Housing.居住在公共住房中的多民族吸烟者近期使用尼古丁替代疗法的相关因素。
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Latinas and Maternal and Child Health: Research, Policy, and Representation.
拉丁裔与母婴健康:研究、政策与代表性
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Socially Assigned Race and the Health of Racialized Women and Their Infants.社会赋予的种族以及种族化女性及其婴儿的健康。
Health Equity. 2022 Nov 18;6(1):845-851. doi: 10.1089/heq.2022.0079. eCollection 2022.
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Association between gestational diabetes and 6-year incident diabetes: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).妊娠糖尿病与 6 年内发生糖尿病的关联:来自西班牙裔社区健康研究/拉丁裔研究(HCHS/SOL)的结果。
BMJ Open Diabetes Res Care. 2022 Nov;10(6). doi: 10.1136/bmjdrc-2022-002980.
6
How Should Health Equity Researchers Consider Intersections of Race and Ethnicity in Afro-Latino Communities?健康公平研究人员应该如何考虑非裔拉丁裔社区中种族和民族的交叉问题?
AMA J Ethics. 2022 Apr 1;24(4):E283-288. doi: 10.1001/amajethics.2022.283.
7
Risk of Extreme, Moderate, and Late Preterm Birth by Maternal Race, Ethnicity, and Nativity.按产妇种族、民族和出生地划分的极高危、中危和晚期早产风险。
J Pediatr. 2022 Jan;240:24-30.e2. doi: 10.1016/j.jpeds.2021.09.035. Epub 2021 Sep 28.
8
Street-Race in Reproductive Health: A Qualitative Study of the Pregnancy and Birthing Experiences among Black and Afro-Latina Women in South Florida.街头生育:南佛罗里达州黑人和非裔拉丁裔女性的怀孕和分娩经历的定性研究。
Matern Child Health J. 2022 Apr;26(4):700-707. doi: 10.1007/s10995-021-03188-2. Epub 2021 Jul 16.
9
The Hispanic/Latinx Perinatal Paradox in the United States: A Scoping Review and Recommendations to Guide Future Research.美国的西班牙裔/拉丁裔围产期悖论:一项范围综述及未来研究指导建议。
J Immigr Minor Health. 2021 Oct;23(5):1078-1091. doi: 10.1007/s10903-020-01117-z. Epub 2020 Oct 31.
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Matern Child Health J. 2019 Apr;23(4):538-546. doi: 10.1007/s10995-018-2669-9.